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themselves, that expend upon the individual energies that are lost to the world at large; nevertheless, such standards of virtue are necessary for certain inferior types. There exist, besides, certain individuals in rebellion against society, outcasts whose lives depend upon the succor of the strong, or may be destroyed by their adverse intervention, but in any case have ceased to depend upon the will of the individuals themselves.

Between two inferior types the one with the better chances is the one with the larger chest development; apparently, in the case of biological deviations, melius est abundare quam deficere.

Accordingly, let us draw up a chart. Human perfectionment tends toward harmony. If we wish to represent this by some symbolic or intuitive sign, we could not do so by a mere line; because perfection is not reached by the quantitative increase of favourable parts; robustness, for instance, cannot be indefinitely increased by augmenting the degree of brachyscelia; nor can intelligence be increased by augmenting the volume of the head; but perfection is approached, in the race and in the individual, through a central harmony. It is accordingly in the direction of this centre that progress is made; and whoever departs furthest from this centre, departs furthest from perfection, becomes more eccentric, more untypical, and at the same time also loses the psycho-moral potentiality to attain the highest civic perfection.

In Fig. 17, we have a graphic representation in three concentric circles.

Fig. 17

Let us begin by considering the middle circle, that of the abnormals. Here we have inscribed, as psycho-moral and physio-pathological traits, abstemiousness, anti-social tendency, predisposition to disease. Abstemiousness represents a corrective, without which the individual tends toward an anti-social line of action and contracts diseases. Abstemiousness is present within the circle of abnormal human beings, as a more or less attainable ideal; but it must be regarded as the pedagogic goal, when the problem arises of educating an untypical class of individuals. In other words, there are certain abnormal individuals who, if they are not to turn out criminals, must exercise a violent corrective influence over their psycho-physical personality, and they must be trained to do so; for it is an influence unknown to the normal man, who not only has no inclination to commit a crime, but recoils from doing so, and on the contrary may arise to degrees of moral perfection that are inconceivable to the abnormal man. Consequently, in order to maintain a relatively healthy condition, certain abnormal individuals are constrained to submit themselves to a severe hygienic régime throughout their entire life; a régime useless to the normal man, who indulges naturally in all the pleasures which are consistent with the full measure of physical health, and which remain forever unknown, and unattainable, to the abnormal individual organically predisposed to disease.

Such self-restraint we may call the culte of virtue, a necessity only to certain categories of men; and we may also call it the virtue of inferior individuals. It applies and is limited almost wholly to the individual.

Meanwhile, there is the normal man's high standard of virtue, which is an indefinite progress toward moral perfection; but the path it follows lies wholly in the direction of society collectively, or toward the biological perfectionment of the species. In life's attainment of such a triumph, man both feels and is happy rather than virtuous.

The separation between the circles, or rather between the different categories of individuals, the normal and the abnormal, is not clear-cut. There always exist certain imperceptibly transitional forms, between normality and abnormality; and furthermore, since no one of us is ideally normal, no one who is not abnormal in some one thing, it follows that this "some one thing" must be corrected by the humbling practice of self-discipline. At the same time it is rare for a man to be abnormal in all parts of his personality; in such a case he would be outside the social pale, a monstrosity; the high, collective virtues can, therefore, even if in a limited degree, illuminate the moral life of the abnormals. St. Paul felt that it "is hard to kick against the pricks"; and the picciotto of the Camorra feels that he is obeying a society that protects the weak.

It is a question of degree. But such a conception must lead to a separation in school and in method of education, for the two categories of individuals.

Abnormal Types According to De Giovanni's Theory

Certain very important pathological types have been distinguished and established in Italy by De Giovanni, the Paduan clinical professor who introduced the anthropological method into clinical practice. Through his interesting studies, he has to-day fortunately revived the ancient theory of temperaments, explaining them on a basis of physio-pathological anthropology.

De Giovanni distinguishes two fundamental types; the one hyposthenic (weak), the other hypersthenic (over-excitable); these two types obey the following rules: morphologically considered, the hyposthenic type has a total spread of arms greater than the total stature and a chest circumference of less than half the stature: these data alone are enough to tell us that the type in question is macroscelous; as a matter of fact, the chest is narrow and the abdomen narrower still. De Giovanni says that, owing to the scant pulmonary and abdominal capacity the organs of vegetative life are inadequate; the heart is too small and unequal to its function of general irrigator of the organism; the circulation is consequently sluggish, as shown by the bluish network of veins, indicating some obstacle to the flow of blood.

The type is predominantly lymphatic, the muscles flaccid, with a tendency to develop fatty tissues, but very little muscular fibre; there is a predisposition to bronchial catarrh, but above all to pulmonary tuberculosis. This hyposthenic type, which corresponds to the lymphatic temperament of Greek medicine, is in reality a macroscelous type somewhat exceeding normal limits and therefore physiologically inefficient and feeble.

The following is De Giovanni's description:

Morphologically.—Deficient chest capacity, deficient abdominal capacity, disproportionate and excessive development of the limbs; insufficient muscularity.

Physiologically.—Insufficient respiration, and consequent scanty supply of oxygen (a form of chronic asphyxia of internal origin), insufficient circulation, because the small heart sends the blood through the arteries at too low a pressure; and this blood, insufficiently oxygenated, fails to furnish the tissues with their normal interchange of matter, and therefore the assimilative functions in general all suffer; finally, the venous blood is under an excessive pressure in the veins, the return flow to the heart is rendered difficult and there results a tendency to venous hyperemia (congestion of the veins), even in the internal organs. This is accompanied by what De Giovanni calls nervous erethism (in contradistinction to torpor), which amounts to an abnormal state of the central nervous system, causing predisposition to insanity and to various forms of neurasthenia (rapid exhaustion, irritability).

This type is especially predisposed to maladies of the respiratory system, subject to bronchial catarrh recurring annually, liable to attacks of bronchitis, pleurisy, and pneumonia, and easily falls victim to pulmonary tuberculosis.

Here are a few cases recorded by De Giovanni.[9] (It must be borne in mind that the total spread of the arms, Ts, ought to equal the total stature, St. The measurements are given in centimetres.)

F. M.—St 147; Ts 151.—Extremely frail; frequent attacks of hemorrhage of the nose; habitually pale and thin. Certain disproportions of the skeleton, hands and feet greatly enlarged; extreme development of the subcutaneous veins. Pulmonary tuberculosis.

A. M.—St 161; Ts 193.—Nervous erethism; from the age of twelve subject to laryngo-bronchial catarrh; every slight illness accompanied by fever; habitually thin. Pulmonary tuberculosis.

F. M.—St 150; Ts 150; Ct 67.—Lymphatic, torpid, almost chronic bloating of the abdomen. Enlargement of the glands; scars from chilblains on hands and feet. Primary tuberculosis of the glands, secondary tuberculosis of the lungs.

A. M.—St 172; Ts 179.—Extreme emaciation, heart singularly small. Chronic bronchial catarrh.

If it is important for us, as educators, to be acquainted with this type in the adult state, it ought to interest us far more during its ontogenesis, that is, during the course of its individual evolution.

Since, in the process of growth, man passes through different stages, due to alteration in the relative proportions of the different organs and parts, it follows that this hyposthenic type correspondingly alters its predisposition to disease. Its final state, manifested by various defects of development, gave unmistakable forewarnings at every period of growth.

In early infancy symptoms of rickets presented themselves, and then disappeared, like an unfulfilled threat: dentition was tardy or irregular; the head was large and with persistent nodules. This class, as a type, is weak, sickly, easily attacked by infectious diseases, tracoma, purulent otitis.

When the first period of growth is passed, glandular symptoms begin, with liability to sluggishness of the lymphatic glands (scrofula) or persistent swelling of the lymphatic ganglia of the neck. This is supplemented by bronchial catarrh, recurring year after year; finally intestinal catarrh follows, accompanied in most cases by loss of appetite.

Such conditions are influenced very slightly or not at all by medical treatment.

During the period of puberty, cardiopalmus (palpitation of the heart) is very likely to occur, often accompanied by frequent and abundant epistasis, or by the occurrence of slight fever in the evening, and by blood-stained expectorations, suggestive of tuberculosis. The patient is pale (oligohæmic), very thin, and shoots up rapidly (preponderant growth of the limbs); he is subject to muscular asthenia (weakness, exhaustibility of the muscles) and to various forms of nervous excitability.

These symptoms also (some of them so serious as to arouse fears, at one time of rickets and at another of tuberculosis), are all of them quite beyond the reach of medical treatment (tonics, etc.).

Now, a fact of the highest importance, discovered by De Giovanni, is that of spontaneous corrections, that is, the development of compensations within the organism, suited to mitigate the anomalous conditions of this type, and hence the possibility of an artificial intervention capable of calling forth such compensations. Such intervention cannot be other then pedagogic; and it should consist in a rational system of gymnastics, designed in one case to develop the heart, in another the chest, in another to modify the intestinal functions or to stimulate the material renewal of the body; while every form of overexertion must be rigorously avoided.

"I think that we should regard as an error not without consequences what may be seen any day in the gymnasiums of the public schools, where pupils differing in bodily aptitude, and with different gymnastic capacity and different needs are with little discernment subjected to the same identical exercises, for the same length of time.

"And day by day we see the results: there are some children who rebel outright against the required exercise which they fear and from which they cannot hope to profit, because it demands an effort beyond their strength. Some have even been greatly harmed; so that one after another they abandon these bodily exercises, which if they had been more wisely directed would assuredly have bettered their lot.

Fig. 18. Fig. 19.

Brachyscelous type (from Viola).

Fig. 20. Fig. 21.

Macroscelous type (from Viola).

"Experience also teaches that one pupil may be adapted to one kind of exercise and another to another kind. Accordingly a really physiological system of gymnastics requires that those movements and those exercises which are least easily performed should be practised according to special methods, until they have strengthened the less developed functions, without ever causing illness or producing harmful reactions.[10]"

So that the final results are an improvement in the morphological proportions of the organism, and consequently a correction and improvement in the relative liability to disease.

The other fundamental pathological type described by De Giovanni is the hypersthenic (second morphological combination), corresponding in part to the sanguine temperament of Greek medicine, and in part to the bilious temperament. In this type the total

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